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Health care decision-making can also enter the picture toward the end of your life. [read post]
28 Aug 2020, 6:34 am by Gregory Dell
Mental Health Issues Mental health issues are just as disabling as physical disabilities. [read post]
1 Oct 2021, 9:19 am by Cynthia Marcotte Stamer
Part 318 (“Health Breach Rule”) unless the breach is covered by and addressed in accordance with the Health Insurance Portability & Accountability Act (“HIPAA”) Breach Notification for Unsecured Protected Health Information, 45 CFR Parts 160 and 164 (“HIPAA Breach Rule”) applicable to health plans, health care providers, health care clearinghouses and their service provider business… [read post]
11 Nov 2015, 9:44 am by Ronald Mann
”  In the same vein, Justice Antonin Scalia (the author of the Court’s opinion in Great-West Life and Annuity Insurance Co. v. [read post]
31 Mar 2020, 8:45 pm by tvasil
New York (applies to Life Insurance as well):  On March 30th, the NY DFS adopted emergency regulation following the issuance of Executive Order 212.13 mandating the deferral of premium payments for life and property and casualty insurance. [read post]
12 Aug 2014, 6:28 am by Mark S. Humphreys
And American General had to pay back nearly $2.7 million in 39 life insurance claims it first declined to pay. [read post]
16 Jul 2019, 2:01 pm by Cynthia Marcotte Stamer
Stamer’s clients include employers and other workforce management organizations; employer, union, association, government and other insured and self-insured health and other employee benefit plan sponsors, benefit plans, fiduciaries, administrators, and other plan vendors;   domestic and international public and private health care, education and other community service and care organizations; managed care organizations;… [read post]
26 Sep 2023, 5:10 pm by Sherica Celine
Claims Procedure ERISA Requirements Checklist (Group Health Plans) Use this checklist to verify that your clients’ benefit claims procedures comply with both ERISA and the ACA. [read post]
16 Sep 2023, 3:33 pm by John Caiozzo
In layman’s terms, this means SB 523 guarantees the right to secure housing without facing discrimination as a result of one’s reproductive health decisions.SB 523’s Impact on ContraceptivesAside from alterations to FEHA, SB 523 also adds requirements to the California Government Code, mandating that the vast majority of health benefit plans/contracts offer contraceptive coverage as well as coverage for related services as consistent with specific… [read post]
The bill would establish a new Patient and State Stability Fund, which funds can be used by States to assist high-risk individuals who do not have access to health insurance coverage, stabilize health insurance coverage, promote access to preventive and other health care services, stabilize premiums for individuals with pre-existing conditions, and reduce the cost of and promote participation in the small and group health… [read post]
27 Feb 2023, 9:05 pm by McKennon Law Group
There are only four groups of people who can sue under ERISA: insurance plan participants, plan beneficiaries, plan fiduciaries, and the Secretary of Labor. [read post]
27 Jun 2007, 6:16 am
So far, so good.Unfortunately, my industry has a long history of shooting itself in the foot (cf: Single Premium Life), and the FFS biz is no different:"Humana Inc., UnitedHealth Group Inc. and five other U.S. health insurance companies agreed to stop selling a type of government-funded plan for the elderly in response to complaints that sales agents forged signatures and enrolled dead people. [read post]
10 Jun 2021, 12:42 pm by Beth Mole
(credit: Getty | Bloomberg) Doctors and hospitals are condemning plans by UnitedHealthcare—the country’s largest health insurance company—to retroactively deny emergency medical care coverage to members if UHC decides the reason for the emergency medical care wasn’t actually an emergency. [read post]
6 Nov 2023, 9:00 pm by Sherica Celine
ACA and Group Health Plan Resource Kit Reference this resource kit setting forth legal compliance resources for employer group health plans. [read post]
12 Feb 2021, 1:33 pm by Cynthia Marcotte Stamer
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy Group. [read post]
22 Jan 2014, 11:02 am
She has frequently lectured on insurance claims litigation to industry groups and attorneys. [read post]
8 Sep 2014, 12:48 pm
Still should have had access to COBRA once his group plan ended. [read post]